title: Combined use of invatec mo.ma proximal protection device and Solitaire AB retrievable stent for tandem occlusions in a patient with acute ischemic stroke.
abstract: Recanalization of tandem vascular occlusions in the setting of an acute stroke is problematic. Here we report a successful treatment of an acute ischemic stroke with tandem cervical internal carotid artery and middle cerebral artery occlusions. A 56-year-old woman presented with acute left-sided hemiplegia. Diffusion magnetic resonance imaging showed an acute infarction in the right frontal and parietal lobes. We planned to perform rescue endovascular treatment after fibrinolytic therapy failed. Stent-assisted carotid angioplasty with proximal embolic protection device was followed by stent-based mechanical thrombectomy of the proximal middle cerebral artery occlusion. Her neurological condition improved after the procedure with National Institutes of Health Stroke Scale of 3 points. The combination of proximal embolic protection device and retrievable Solitaire stent could be a feasible and safe treatment strategy in acute ischemic stroke patients with extra- and intracranial tandem occlusions.
authors.affiliation: Bezmialem Vakif University Faculty of Medicine, Department of Cardiology, Vatan Street, 34093, Fatih/Istanbul. atasal01@gmail.com.
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Tasal
authors.forename: Talip
authors.initials: T
authors.lastname: Asil
authors.forename: Omer
authors.initials: O
authors.lastname: Goktekin
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002533:Cerebral Angiography; D057505:Embolic Protection Devices; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed